（俱见中寒论中）
发汗若下之。病仍不解。烦躁者。茯苓四逆汤主之。（此条亦系真寒证。既误汗之。复误下之。病仍不解。反作烦躁。
乃阴寒病。误服凉药之所致也。医人不可因其烦躁。认以为传经热证。正文与注并）
（俱见中寒论中）
（附后例）发汗后恶寒者。虚故也。不恶寒。但热者实也。当和胃气。与调胃承气汤。（此条系阳明实热入府之证。
正文与注并汤方俱详后第六卷阳明篇中）
太阳病。发汗后。大汗出胃中干。烦躁。不得眠。欲得饮水者。少少与饮之。令胃气和则愈。若脉浮小便不利。微
热消渴者。与五苓散主之。（太阳病。用麻黄汤以发其汗。汗因大出。则胃中津液干。干则烦躁不得眠。即内经曰。胃不
和。则卧不安者是也。欲得饮水者。人身津液为水之类。汗大出而津液亡。内水耗竭。欲得外水以自救也。法宜少少与
之。但令胃得水而不干。斯气润而和。其病则愈。若发汗后。而脉尚浮者。表未尽解也。欲得饮水而小便不利。此是寒
饮荡其胃中之热。下流而入于膀胱。膀胱热结。故不利也。微热消渴者。其人外则微热而表不解。内又消渴而饮水多。
是太阳之经与府俱病也。与五苓散以和表里。下水热。愚按此条论。当作两截看。太阳病发汗后云云。至胃气和则愈。
此系胃中干烦躁作渴。止须饮水以和胃气。非五苓散证也。若脉浮。小便不利。微热消渴。此系水热结于膀胱而渴。乃
为五苓散证。前贤不察。皆一直看下。大失仲景之旨。愚又按上云。太阳病。乃合中风伤寒而言之也。中风不可误发其
汗。伤寒亦不可过发其汗。汗出太多。则胃中干。势所必至。成注混同作解甚妙。条辩及尚论篇。列入中风条下。何其
执也。）
（以上方剂均见于《中寒论》中）
发汗后若又误用攻下法，病邪仍未解除，出现烦躁症状的，以茯苓四逆汤主治。（这一条也属于真寒假寒证。既然已经误用发汗法，又误用攻下法，病情仍未解除，反而出现烦躁，这是阴寒病误服凉药所导致的。医生不可因为患者烦躁，就认为是传经热证。正文与注释合并于此。）
（以上方剂均见于《中寒论》中）
（附在后面作为示例）发汗后出现恶寒症状的，是因为正气虚弱；不恶寒，只发热的，是实证。应当调和胃气，给予调胃承气汤。（这一条属于阳明实热入腑的证候。正文与注释合并，汤方详见后第六卷阳明篇中）
太阳病，发汗后，大汗出导致胃中津液干燥，出现烦躁、无法入睡，想要喝水的，应少量多次地给予饮水，使胃气调和则痊愈。如果脉象浮，小便不利，伴有轻微发热和消渴（口渴多饮）症状的，以五苓散主治。（太阳病，使用麻黄汤来发汗，汗大量排出，则胃中津液干枯。干枯则导致烦躁不得眠，正如《内经》所说：“胃不和，则卧不安”。想要喝水，是因为人体津液属于水类，大汗出而津液亡失，体内水液耗竭，想要借助外部的水来自救。治法适宜少量多次给予，只要让胃得到水而不干燥，那么气机滋润而调和，疾病就会痊愈。如果在发汗后，脉象仍然浮，说明表邪未尽解除。想要喝水且小便不利，这是因为寒饮激荡胃中的热气，向下流入膀胱，导致膀胱热结，所以小便不利。轻微发热且消渴，说明此人外有微热而表证未解，内有消渴而饮水多，这是太阳经与太阳腑同时发病。给予五苓散以调和表里，通利水热。我按：这一条论述，应当分为两部分来看待。“太阳病发汗后……”至“胃气和则愈”，这部分属于胃中干燥、烦躁作渴，只需饮水以调和胃气，并非五苓散的适应证。如果是脉浮、小便不利、微热消渴，这部分属于水热互结于膀胱而致渴，才是五苓散的适应证。前贤未能察觉，都一直连贯解读，大大失去了张仲景的本意。我又按：上文所说的“太阳病”，是综合中风和伤寒而言的。中风不可误用发汗，伤寒也不可以过度发汗。汗出太多，导致胃中干燥，是必然的趋势。成无己的注解将其混同解释非常精妙。柯琴的《伤寒来苏集》及喻嘉言的《尚论篇》，将其列入中风条下，是何等的固执。）
(The above prescriptions are all found in *Zhong Han Lun* [Treatise on Cold Damage].)
After sweating therapy, if purgation is erroneously applied and the disease remains unresolved, with the manifestation of irritability (Fan Zao), Fuling Sini Decoction (Poria and Aconite Decoction) should be administered. (This clause also pertains to a true cold syndrome. Since erroneous sweating was performed first, followed by erroneous purgation, and the disease remains unresolved, the subsequent irritability arises from the administration of cooling medicines to a yin-cold disease. Physicians must not mistake this irritability for a heat syndrome transmitted through meridians. The main text and annotation are combined here.)
(The above prescriptions are all found in *Zhong Han Lun* [Treatise on Cold Damage].)
(Attached as an example below:) After sweating therapy, if aversion to cold occurs, it is due to deficiency. If there is no aversion to cold but only fever, it is an excess syndrome. One should harmonize the Stomach Qi and administer Tiaowei Chengqi Decoction (Regulating the Stomach and Order the Granules Decoction). (This clause pertains to a Yangming excess-heat syndrome entering the fu organs. The main text and annotation are combined; the prescription details are provided in Volume 6, Yangming Chapter, later in the text.)
In Taiyang disease, after sweating therapy, excessive sweating leads to dryness in the Stomach, resulting in irritability and insomnia. If the patient desires water, one should provide small amounts of water frequently. When the Stomach Qi becomes harmonized, the patient will recover. If the pulse is floating, urination is difficult, accompanied by slight fever and Xiao Ke (wasting-thirst/polydipsia), Wuling San (Five-Ingredient Powder with Poria) should be administered. (For Taiyang disease, Mahuang Tang (Ephedra Decoction) is used to induce sweating. Excessive sweating depletes the fluids in the Stomach. Dryness causes irritability and insomnia, consistent with the statement in *Neijing*: "When the Stomach is disharmonious, sleep is uneasy." The desire for water arises because body fluids belong to the category of water; excessive sweating depletes internal fluids, prompting the body to seek external water for self-rescue. The appropriate method is to provide small amounts frequently, ensuring the Stomach receives water without becoming dry, thereby moistening the Qi and restoring harmony, leading to recovery. However, if after sweating the pulse remains floating, the exterior pathogen has not been fully resolved. The desire for water combined with difficulty in urination indicates that cold-fluid retention agitates the heat in the Stomach, causing it to flow downward into the Bladder, resulting in heat accumulation and urinary obstruction. Slight fever and polydipsia indicate that externally there is slight fever with unresolved exterior syndrome, and internally there is polydipsia with increased water intake, signifying simultaneous involvement of the Taiyang channel and its corresponding fu organ. Wuling San is given to harmonize the interior and exterior and promote the discharge of water-heat. In my opinion: This clause should be interpreted in two parts. From "Taiyang disease after sweating..." to "when Stomach Qi harmonizes," this refers to dryness in the Stomach causing irritability and thirst, which requires only water to harmonize the Stomach Qi and is not an indication for Wuling San. Conversely, floating pulse, difficulty in urination, slight fever, and polydipsia refer to water-heat binding in the Bladder causing thirst, which is the indication for Wuling San. Previous scholars failed to notice this and interpreted it linearly, significantly missing Zhang Zhongjing's intent. Furthermore, the term "Taiyang disease" mentioned above encompasses both Wind-stroke and Cold-damage. Wind-stroke should not be erroneously treated with sweating, nor should Cold-damage be excessively sweated. Excessive sweating inevitably leads to Stomach dryness. Cheng Wuji's commentary harmoniously explains this mixture, which is excellent. Ke Qin's *Shanghan Laisu Ji* and Yu Jiayan's *Shanglun Pian* incorrectly classified this under Wind-stroke clauses, which is overly rigid.)